Vulvar Cancer in Pregnancy

Vulvar cancer in pregnancy is very rare. If pregnant women are suffering from vulvar cancer the tissues present in the vulva might contain malignant or cancerous cells. Vulva is a part of women which comprises of the outer and inner vaginal lips, vagina’s opening, the glands of vagina, and clitoris which is nothing but the sensitive tissue part found in-between the vaginal lips. In most of the cases vulvar cancer in pregnancy might be observed in the vaginal lips that are situated outside. The clitoris or the inner region of the vaginal lips is very rarely affected by vulvar cancer in pregnancy. Vulvar cancer normally has a slow development period sometimes spanning over to many years. The vulvar skin might contain abnormal cells over the surface for a prolonged period of time. VIN or vulvar intraepithelial neoplasia or dysplasia is found to be a precancerous condition. Since it can become vulvar cancer it needs to be treated immediately.

Vulvar cancer in pregnancy can exhibit certain early symptoms like a lump present in the vulva region, uncontrollable itching in the vulvar region which does not disappear immediately, bleeding that is not linked with periods or menstruation and vulvar region tenderness.

Various tests that are used for examining the vulva in women can also be used for finding out or diagnosing vulvar cancer in women in pregnancy. Some of the procedures and tests involved in the diagnosis of vulvar cancer include history and physical examination and biopsy. When physically examining the body checking for unusual lumps in the vulva is done. Also the patient’s eating habits, health habits, health history, past illnesses, their treatments and many more are thoroughly observed and checked. Biopsy is a procedure to check the presence of malignant cells in vulva by taking a sample of the vulva and examining it.

If vulvar cancer in pregnancy is found, doctors would discuss about the recovery chances of the patient or prognosis. They might also discuss about various treatment options available to them, their pros and cons. The choice of treatment for vulvar cancer in pregnancy might depend great on the health of the patient, their age, cancer stage, time of diagnosis and many more. After the diagnosis of vulvar cancer, the next step is to determine the stage of the disease. Some of the procedures and tests used for determining the stage of cancer include pelvic examination of cervix, vagina, uterus, ovaries, rectum and fallopian tubes. Proctoscopy, cystoscopy, IVP or intravenous pyelogram, x-rays, MRI, and CT scans might also be used for determinig the stage of vulvar cancer in women during pregnancy.

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